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M M <br />must be assured we are going to get our monies worth out of <br />making a change because once we make the change, he believed <br />it will only be a short time before we will lose our <br />Volunteer Ambulance Squads and be stuck with the major cost <br />of this system. He further pointed out that in most cases <br />in this county, we have a situation of very short hauls <br />because of our geography, and he questioned whether we are <br />going to get enough benefit out of paramedics in transport <br />to make a paramedic system worthwhile. Commissioner Lyons <br />also expressed concern about such a large committee. <br />Dr. Frazier agreed that justification of this system is <br />very important. He also believed there is a great deal of <br />+room for improvement in coordination between the emergency - <br />services. As to the size of the committee, he noted that <br />most of the work of the EMS Council is done by a small <br />group, but they need the input of all the groups. He did <br />not share Commissioner Lyons concern about a loss of <br />voluntarism, and stated that he had sensed a great deal of <br />interest from them. <br />Commissioner Wodtke also had concerns, especially re <br />funding, and did not feel it is possible to fund Advanced <br />Life Support $300,000-$500,000 next year. He agreed that he <br />will look at the report, but noted that our present EMS are <br />doing an excellent job and costing us nothing. Commissioner <br />Wodtke then discussed the responsibility of the individual <br />to pay for the services rendered and hoped that in the study <br />and future presentation a fee structure for services <br />rendered would be considered. In regard to what is.being <br />proposed today, Com. Wodtke stated that he would be in favor <br />of setting up a committee, but did not know that he would be <br />in favor of a full salaried medical director to assist the <br />committee structure. <br />Chairman Scurlock noted that the recommendation was <br />$18,000 and three months already have expired in this budget <br />72 <br />in .52 ?AcE2P8 <br />